The nurse is caring for a client who is hard of hearing. Which intervention best helps the client with communication?
a. Speaking loudly and adding extra inflec-tions to the tone of voice
b. Bending over the client so that he or she can see the nurse's lips more easily
c. Closing the door to the room and making sure that lighting is adequate
d. Asking the client's spouse to answer questions that are not heard by the client
C
Environmental noise decreases the hearing-impaired client's ability to hear conversation. The room should be adequately lit so the client can read supplemental written notes. Bending down to the client may be seen as condescending or offensive. Speaking loudly, with extra inflections, can actually make it harder for the client to understand the nurse. The nurse should not bend over the client and should instead sit to meet the client's eye level. The client's spouse should be used only as a last resort if no other means of communication are possible.
You might also like to view...
A 35-year-old woman who has been in recovery from alcoholism for 2 years presents at her primary care physician's office with chronic hip pain
She reports that as part of her commitment to her recovery, she began exercising regularly about a year earlier. After a month or two, her hip began to hurt when she ran on the treadmill. She stretches, has had a physical trainer check her form to ensure that it is correct, and rests adequately between each workout. Six months ago, the pain began waking her at night, and now it is constant. She is not aware of any injury to her hip and has no other outward symptoms. Which of the following is most likely to be the cause of her pain? A) Hematogenous osteomyelitis B) Osteomyelitis with vascular insufficiency C) Tuberculosis of the bone D) Osteonecrosis
Complex change situations require that the change leader promote ongoing visioning among staff members. One strategy is to:
a. Consciously evaluate invisible mental models. b. Allow for individual outcomes. c. Encourage cooperative activities. d. Operate between order and disorder.
For which of the following wounds may dressing changes be delegated to a trained nursing assistant?
1. stage II sacral decubitus without exudate, present for 3 weeks 2. surgical incision 24 hours status post–laparoscopic cholecystectomy without a Jackson-Pratt drain 3. surgical incision 72 hours status post–laparoscopic cholecystectomy with a Jackson-Pratt drain 4. tunneling stage III sacral wound
The client is admitted to the acute care unit with a phosphorus level of 2.3 mg/dL. Which nursing intervention would support this client's homeostasis?
1. Encourage consumption of milk and yogurt 2. Enforce strict isolation protocols 3. Encourage consumption of a high-calorie carbohydrate diet 4. Strain all urine